<div>
  <div class="row">
    <div class="col-lg-12">
      <div class="ibox">
        <h3 class="m-t-none m-b ">过世登记</h3>
        <div class="ibox-content">
          <div>
            <div>
              <div class="form-group row">
                <label class="col-sm-2 col-form-label">过世人口</label>
                <div class="col-sm-4">
                  <input v-model="addGovPersonDieInfo.govPersonName" type="text" placeholder="必填，请选择人口"
                    class="form-control">
                </div>
                <button class="col-sm-1 btn btn-primary float-right" type="button" v-on:click="_openAddChooseGovPersonModel()"><i
                  class="fa fa-check"></i>&nbsp;选择</button>
              </div>
              <div class="form-group row">
                <label class="col-sm-2 col-form-label">去世地点/名称</label>
                <div class="col-sm-4">
                  <input v-model="addGovPersonDieInfo.diePlace" type="text" placeholder="必填，请填写去世地点/名称"
                    class="form-control">
                </div>
              </div>
             
              <div class="form-group row">
                <label class="col-sm-2 col-form-label">去世时间</label>
                <div class="col-sm-4">
                  <input v-model="addGovPersonDieInfo.dieTime" type="text" placeholder="必填，请填写去世时间"
                    class="form-control addDieTime">
                </div>
              </div>
              <div class="form-group row">
                <label class="col-sm-2 col-form-label">丧葬开始时间</label>
                <div class="col-sm-4">
                  <input v-model="addGovPersonDieInfo.startTime" type="text" placeholder="必填，请填写预计开始时间"
                    class="form-control dieStartTime"> 
                </div>
              </div>
              <div class="form-group row">
                <label class="col-sm-2 col-form-label">丧葬结束时间</label>
                <div class="col-sm-4">
                  <input v-model="addGovPersonDieInfo.endTime" type="text" placeholder="必填，请填写预计结束时间"
                    class="form-control dieEndTime">
                </div>
              </div>
              <div class="form-group row">
                <label class="col-sm-2 col-form-label">丧葬地点/名称</label>
                <div class="col-sm-4">
                  <input v-model="addGovPersonDieInfo.funeralPlace" type="text" placeholder="必填，请填写葬礼地点/名称"
                    class="form-control">
                </div>
              </div>
              <div class="form-group row">
                <label class="col-sm-2 col-form-label">联系人</label>
                <div class="col-sm-4">
                  <input v-model="addGovPersonDieInfo.contactPerson" type="text" placeholder="必填，请填写联系人"
                    class="form-control">
                </div>
              </div>
              <div class="form-group row">
                <label class="col-sm-2 col-form-label">联系电话</label>
                <div class="col-sm-4">
                  <input v-model="addGovPersonDieInfo.contactTel" type="text" placeholder="必填，请填写联系电话"
                    class="form-control">
                </div>
              </div>
              <div class="form-group row">
                <label class="col-sm-2 col-form-label">去世证明图片</label>
                <div class="col-sm-10">
                    <vc:create path="frame/uploadImage" callBackListener="addImgProve"
                        callBackFunction="notifyUploadImage" imageCount="1" namespace="addImgProve">
                    </vc:create>
                </div>
            </div>
              <div class="form-group row">
                <label class="col-sm-2 col-form-label">备注</label>
                <div class="col-sm-4">
                  <textarea v-model="addGovPersonDieInfo.ramark" placeholder="选填，请填写备注"
                  class="form-control"></textarea>
                </div>
              </div>

              <div class="ibox-content">
                <button class="btn btn-primary float-right" type="button" v-on:click="saveGovPersonDieInfo()"><i
                    class="fa fa-check"></i>&nbsp;保存</button>
                <button type="button" class="btn btn-warning float-right" style="margin-right:20px;"
                  data-dismiss="modal"  v-on:click="_closeAddPersonDie()">取消</button>
              </div>
            </div>
          </div>
        </div>
      </div>
    </div>
  </div>
</div>

